Postoperative Pain Clinical Trial
Official title:
Comparison of the Effects of Ultrasound-Guided Erector Spinae Plane Block and Serratus Posterior Superior Intercostal Plane Block on Postoperative Acute Pain in Patients Undergoing Breast Surgery
Breast cancer is the most common malignancy in women. Modified radical mastectomy, a surgical procedure in the treatment of breast cancer, is one of the standard treatments. Postoperative pain can seriously reduce the quality of life in patients, and inadequately treated acute pain can trigger chronic pain syndrome. Therefore, thoracic paravertebral block and thoracic epidural block are effective in postoperative analgesia. However, the use of these blocks is limited due to complications. In recent years, less invasive blocks, such as pectoral nerve block (PECS I-II), Serratus anterior plane block (SAPB), Erector spinae plane block (ESPB), and Serratus Posterior Superior intercostal Plane Block (SPSİPB) have been applied. In this study, it was aimed to compare the analgesic effectiveness of ESPB and SPSİPB applications in patients undergoing breast surgery.
Status | Recruiting |
Enrollment | 25 |
Est. completion date | October 27, 2024 |
Est. primary completion date | September 27, 2024 |
Accepts healthy volunteers | No |
Gender | Female |
Age group | 18 Years to 65 Years |
Eligibility | Inclusion Criteria: - Those aged 18-65 - Those with ASA scores I-II-III - Those with a body mass index (BMI) between 18-35 - Patients who will undergo modified radical mastectomy Exclusion Criteria: - Those under the age of 18 and over the age of 65 - Those with ASA score IV and above - Those with a history of allergy to the drugs to be blocked - Those with a history of bleeding diathesis - Patients with infection in the area to be blocked - Those with a BMI below 18 and above 35 - Patients who underwent surgery under emergency conditions |
Country | Name | City | State |
---|---|---|---|
Turkey | Ankara Etlik City Hospital | Yenimahalle | Ankara |
Lead Sponsor | Collaborator |
---|---|
Diskapi Yildirim Beyazit Education and Research Hospital |
Turkey,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Postoperative analgesia | Pain will be assessed with a 11 point numeric rating scale (0-10 whereas 0:no pain; 1-3: mild pain; 4-6: moderate pain and 7-10: severe pain) | Postoperative day 1 | |
Secondary | Postoperative tramadol consumption | The amount of tramadol consumed in the postoperative period will be recorded | Perioperative day 1 | |
Secondary | Postoperative nausea and vomiting (PONV) | PONV will be assessed with a 5 point PONV intensity scale (1-4 whereas 1:absence of PONV; 2: nausea present, vomiting absent; 3 nausea present, vomiting once; 4: nausea present vomiting twice or more | Postoperative day 1 | |
Secondary | Patient satisfaction | Satisfaction will be assessed with a 5 point Likert scale (0-4 whereas 0:definitely disagree; 1:slightly agree; 3: agree; 4: strongly agree) | Postoperative 24th hour |
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